Optimal use of external demands in hospitals - a Delphi study from the Netherlands
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RESEARCH ARTICLE
Open Access
Optimal use of external demands in hospitals - a Delphi study from the Netherlands Louise H. K. Blume1,2*, Nico J. H. W. van Weert3, Jamiu O. Busari1 and Diana Delnoij2,4
Abstract Background: Regulatory authorities focus on promoting compliance of hospitals with a variety of external demands. Due to the amount of these external demands, hospitals might prioritise to cope with the external demands. In this study, we explore to what extent a risk-based prioritisation system developed by one Dutch hospital, is applicable in other hospitals as well. The specific research question was: can a risk-based prioritisation system help hospitals cope with the pressures of external demands? Methods: We conducted a Delphi study, containing three rounds with seven quality and safety managers. All participants were experienced in coping with external demands in Dutch hospitals in general and their own hospital specifically. These experts were granted access to a sample selection of a database containing about 1500 external demands (January 2014). Prior to the Delphi study, a baseline measurement was carried out, where all participants answered open-ended questions aimed at identifying existing practices, possible challenges concerning external demands and to prepare the survey for the group Delphi study. Results: We identified a high level of consensus during our Delphi research. The experts agreed that at present, Dutch hospitals do not cope with external demands systematically. The participants agreed that the database and the risk-based prioritisation system are useful tools to cope with the amount of external demands and indicated that they would also like to use these tools themselves in the future. Conclusions: In this study, the participants agreed that the database and the risk-based prioritisation system are both applicable and useful tools to cope with the amount of external demands. Further research addressing the use of the risk-based-priority system for specific subsets of external demand is also needed. Keywords: Delphi, External demands, Priority, Hospitals, Guidelines, Risks
Background Nowadays, hospitals have to deal with many external demands. These external demands are specific requirements and expectations that healthcare institutions must adhere to in order to obtain or renew licensure to practice. A large amount of external demands are clinical guidelines, which were originally developed to synthesize scientific evidence, professional experience and patient preferences. They were meant to promote the use of * Correspondence: [email protected] 1 Zuyderland Medisch Centrum, Postbus 5500 6130 MB Sittard-Geleen, Netherlands 2 Tilburg School of Social and Behavioural Sciences, Tranzo, Scientific Center for Transformation in Care and Welfare, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, Netherlands Full list of author information is available at the end of the article
new knowledge and achieve standardisation to decrease variation in the procedures [1]. Moreover, they wer
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